一项针对父母/子女协同减肥干预措施（Dyad Plus）的随机对照可行性研究方案

Protocol for a randomized controlled feasibility study of a coordinated parent/child weight loss intervention: Dyad Plus.

作者信息

Dilley Joshua R, Singletary Camelia R, Ard Jamy D, Giles Steven, Skelton Joseph A, Heboyan Vahé, Jake-Schoffman Danielle E, Turner-McGrievy Gabrielle, McGrievy Matthew, Ip Edward H, Moore Justin B

机构信息

Department of Plastic Surgery, Wake forest School of Medicine, Winston-Salem, NC, USA.

Department of Implementation Science, Wake Forest School of Medicine, Winston-Salem, NC, USA.

出版信息

Transl J Am Coll Sports Med. 2020 Fall;5(12). doi: 10.1249/tjx.0000000000000136.

DOI:10.1249/tjx.0000000000000136

PMID:33928189

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8078845/

Abstract

UNLABELLED

The prevalence of in youth with overweight and obesity is a global health concern, necessitating clinical interventions to treat obesity effectively through lifestyle modification. Interventions in adolescents have demonstrated improvements in healthy eating and physical activity with only modest weight loss outcomes. Consequently, there is growing interest in developing strategies to enhance the effectiveness of clinical interventions in adolescents. Targeting the family system can be an effective approach, but existing studies have failed to examine the impact of co-enrolling both the adolescent and adult in individually tailored weight loss programs and coordinating the adolescent/adult weight loss efforts.

PURPOSE

This paper reports on the design and conceptual framework of the Dyad Plus study, which utilizes two weight loss clinics of the Wake Forest Baptist Medical Center: Brenner Families in training (Brenner FIT®; adolescents) and By Design (adults). Dyad Plus is a coordinated program designed to facilitate self-monitoring, positive communication, joint problem solving, and social support to increase physical activity, healthy eating, and weight loss relative to Brenner FIT alone.

METHODS

A total of 45 parent/adolescent dyads are randomized to one of three conditions (n = 15 for each): Brenner FIT only, Dyad (adolescent and parent both enroll simultaneously in the age appropriate program), and Dyad Plus (both parent and adolescent enroll simultaneously, but with a coordinated component for adolescent and caregiver). This study aims to develop and pilot the coordinated intervention, establish feasibility of the intervention, and determine costs associated with implementation.

RESULTS

The results of the study are expected in winter of 2021.

CONCLUSION

If proven feasible and acceptable, Dyad Plus will be tested for effectiveness in a large-scale implementation-effectiveness clinical trial.

摘要

未标注

青少年超重和肥胖的流行是一个全球健康问题，需要通过临床干预来有效治疗肥胖，即通过改变生活方式来实现。对青少年的干预已证明，健康饮食和体育活动有所改善，但体重减轻效果有限。因此，人们越来越有兴趣制定策略，以提高青少年临床干预的有效性。针对家庭系统可能是一种有效的方法，但现有研究未能考察让青少年和成年人同时参加量身定制的减肥计划并协调青少年/成年人减肥努力的影响。